Active NPI
Dimitri Papadopoulos, DIMITRI PAPADOPOULOS
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1932328382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050614
- Practice address
- 2169 White Plains Rd
Bronx, NY 10462-1405 - Phone
- (718) 597-6314
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050614 | NY | Primary |
Addresses
Primary practice location
2169 White Plains Rd
Bronx, NY 10462-1405
Mailing address
3161 30TH St
Astoria, NY 11106-2801
Phone (718) 777-3116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02594118 | Medicaid | NY |
Other names 1
- Dr. Dimitri Papadopoulos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050614 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Kirshenbaum Peruso Lli | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Bronx, NY
- NPI 1245313956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208563200000",
"number": "1932328382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 30TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062801",
"telephone_number": "718-777-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2169 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104621405",
"telephone_number": "718-597-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPADOPOULOS",
"first_name": "DIMITRI",
"name_prefix": "Dr.",
"credential": "DIMITRI PAPADOPOULOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2008-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02594118",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIMITRI",
"last_name": "PAPADOPOULOS",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.